202625 Effectiveness, satisfaction, and follow-up associated with the implementation of a cancer mobile prevention center in Louisville, Kentucky

Monday, November 9, 2009: 1:30 PM

Sandra E. Brooks, MD, MBA , Norton Cancer Institute Prevention and Early Detection, Norton Healthcare, Louisville, KY
Tina M. Hembree, MPH , Norton Cancer Institute Prevention and Early Detection, Norton Healthcare, Louisville, KY
Robert Clemons, BS , College of Public Health, University of Kentucky, Lexington, KY
Sydney Beache , Norton Cancer Institute Prevention and Early Detection, Louisville Collegiate School, Louisville, KY
  
Background: Cancer mortality rates in Louisville (Jefferson County), Kentucky are among the highest in the nation. Medically underserved women are at a higher risk of late stage disease and death compared to women with a usual source of health care. We sought to evaluate the effectiveness and satisfaction associated with deployment of a mobile mammography unit in reaching medically underserved women ages forty and over. The mobile mammography unit also involved lay health navigators for outreach education and a nurse navigator to provide clinical follow up.

Methods: We conducted a retrospective analysis of 1,004 women residing in Louisville, Kentucky that utilized mammography on our Mobile Prevention Center in 2008. Various statistical analyses performed include chi-square, regression modeling and geographic information system (GIS).

Results: Ninety-eight percent (98%) of participants were very satisfied with the services received on the mobile mammography unit and 98% strongly indicated they would recommend the services to others. Women who were never or rarely screened were nearly two times more likely to have abnormal results than women who had been screened recently (OR 1.7, CI 1.7-2.5). Statistically significant predictors of women accessing a mobile mammography unit and abnormal breast cancer screening will be discussed.

Conclusions: A mobile mammography unit can successfully reach medically underserved women ages forty and over in Louisville, Kentucky, and provide satisfying services to these women. Further studies are needed to fully understand health outcomes.

Learning Objectives:
1.Describe the evaluation methods of a mobile mammography unit. 2.Discuss the effectiveness of a mobile mammography unit in reaching medically underserved women ages forty and over.

Keywords: Cancer, Access to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: ACADEMIC AND DEPARTMENTAL APPOINTMENTS 1989-1992 Clinical Instructor, Obstetrics and Gynecology, Harvard Medical School 1992-1996 Assistant Professor, OB/GYN, Univ. of Mass Medical Center, Worcester MA 1996-2000 Assistant Professor, Director, GYN ONC, University of MD School of Medicine, Baltimore MD 2000-2004 Associate Professor, Director, Division of Gynecologic Oncology 2004-9/1/06 Professor and Director, Division of Gynecologic Oncology University of MD 10/01/06-7/1/07 Division Director, Cancer Prevention Program, Norton Healthcare Louisville,KY 7/1/07-2/09 Associate Vice President, Medical Director, Cancer Prevention, Norton Cancer Institute 3/1/09-current Vice President, Research Norton Healthcare and Norton Cancer Institute Preventive Services
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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